| NPI | 1801320551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R192018) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: DE Lt-0000104) |
| 364S00000X Clinical Nurse Specialist (Licence: DE LT-0000104) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-04-19 |